Jayson Randall Baker, MS, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATHL.A1.61305517 Issued in WA

Practice address

2220 Westridge Ave W Apt K103
Tacoma, WA 98466-1858

Phone

(949) 307-5620

NPI assigned

Nov 20, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1972149326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WESTRIDGE AVE W APT K103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984661858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WESTRIDGE AVE W APT K103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984661858",
            "telephone_number": "949-307-5620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040A Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JAYSON",
        "middle_name": "RANDALL",
        "credential": "MS, LAT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "ATHL.A1.61305517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATC",
            "identifier": "2000037901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Baker, RN
• Bert Manfred Baker, PA-C
• Brendan Baker, MSW, LCSW, LICSW
• Clare Andrea Baker
• Cynthia Baker, RN
• Kristina Baker, LMP
• Patrick Stephan Baker, BS, CDPT
• Stephen Wesley Baker, PA-C
• Tara Baker
• Timothy Loell Baker, PTA

• Athletic Trainer in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.